Klare, Kenneth Wade
Klare, Kenneth Wade is an sole proprietor health care provider with primary practice located at 702 E Mimosa St , Rockport TX 78382-4151. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Klare, Kenneth Wade can be contacted via phone (361) 729-8838.Contact Information
Primary practice address
702 E Mimosa St
Rockport TX 78382-4151
Phone: (361) 729-8838
Fax: (361) 729-9508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1096576 | Texas |
Profile Details
| NPI number | 1861491961 |
|---|---|
| LBN Legal business name | Klare, Kenneth Wade |
| Credentials | LPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Apr 5th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861491961 | NPPES |
| Texas | Other | 7019083 | AETNA HEALTHCARE |
| Texas | MEDICAID | 0632119-01 | AETNA HEALTHCARE |
| Texas | Other | 83755T | AETNA HEALTHCARE |
| Texas | Other | 6400153 | AETNA HEALTHCARE |
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